FamilybPracticebGuidelinesbFifthbEditionbTestbBank
Chapterb1.bHealthbMaintenancebGuidelinesbMult
iplebChoice
Identifybthebchoicebthatbbestbcompletesbthebstatementborbanswersbthebquestion.
b
1.bThebnursebisbpreparingbtobteachbabpatientbofbthebAsianbculturebtobperformbpostoperativebdr
essingbchangesbatbhomebafterbdischarge.bWhichbstatementbmadebbybthebnursebindicatesbculturalbco
mpetence?
a. Tellbmebhowbyoubfeelbaboutbyourbsurgery.
b. Asianbpeoplebarebsmart,bsobthisbshouldbbebeasybforbyoubtobunderstand.
c. Americanbsurgeonsbarebhighlybqualified;bImbsurebyoubwillbhealbquickly.
d. Willbyoubtellbmebaboutbanybtraditionalbhealingbpracticesbthatbyoubwouldblikebtobuse?
b
2.bAnbunconsciousbvictimbofbabhousebfirebisbbroughtbtobthebemergencybdepartmentbbybthebp
aramedics.bTiedbtobthebrightbwristbisbanbemblembthatbappearsbbebabreligiousbtalisman.bWhichbact
ionbshouldbthebnursebtake?
a. Tapebitbinbplace.
b. Dobnothingbwithbit.
c. Removebitbandblockbitbupbforbsafekeeping.
d. Placebitbinbabclothingbbagbwithbthebrestbofbthebpatientsbbelongings.
b 3.bAb43-year-
oldbpatientbofbArabbdescentbisbadmittedbtobthebhospital.bTobcomplybwithbthebstateblawsbofbtheborg
anization,bthebnurseboffersbthebpatientbabPapanicolaoubsmear,bwhichbshebrefuses.bWhichbactionbs
houldbthebnursebtakebfirst?
a. Notifybthebphysician.
b. Reportbthebrefusalbtobthebsupervisor.
c. Explainbthebrationalebforbandbbenefitsbofbthebtest.
d. Tellbherbitbisbstateblawbandbthatbshebdoesbnotbhavebabchoice.
b
4.bAbpatientbwhobisbabJehovahsbWitnessbhasbseverebgastrointestinalbbleedingbandbabdangerous
lyblowbhemoglobinblevel.bThebpatientbisbfullybalertbandbcompetentbandbrefusesbtobacceptbthebbloodbtr
ansfusionborderedbbybthebphysician.bWhichbactionbbybthebnursebisbmostbappropriate?
a. Obtainbabcourtborderbtobgivebthebblood.
b. Administerbthebbloodbwhilebthebpatientbisbsleeping.
c. Havebthebpatientsbspousebsignbthebconsentbtobhavebthebbloodbadministered.
,d. Ensurebthebpatientbunderstandsbpossiblebconsequencesbandbthenbrespectbthebpatientsbwishes.
b
5.bAbpatientbofbMexicanbdescentbseesbabcuranderobforbasthma;bthebcuranderobhasbprescribedba
specialbteabtobbebtakenbfourbtimesbabdaybtobopenbthebairways.bHowbshouldbthebnursebrespondbtobthi
b
sbsituation?
a. Encouragebthebpatientbtobcontinuebdrinkingbthebtea.
b. Encouragebthebpatientbtobdrinkbonlybonebcupbofbthebteabeachbday.
c. Askbthebpatientbtobbringbinbthebteabpackagebandbhavebthebpharmacistbcheckbthebingredients.
d. Advisebthebpatientbtobstopbdrinkingbthebteabbecausebofbpotentialbinteractionsbwithbotherb
medications.
b
6.bThebnursebisbcaringbforbabyoungbadultbmalebpatientbwhobrefusesbpersonalbcarebfrombabf
emalebnursingbassistant.bWhichbapproachbbybthebnursebisbbest?
a. Encouragebthebpatientsbfamilybtobtalkbwithbhimbaboutbhisbcare.
b. Havebabregisteredbnurseb(RN)bhelpbwithbhisbpersonalbcare.
c. Assignbabmalebassistantbtobhelpbwithbhisbpersonalbcarebifbonebisbavailable.
d. Explainbtobhimbthatbmalesbandbfemalesbtakebcarebofbbothbgendersbinbthisbhospital.
b 7.bThebnursebisbprovidingbmedicationbinstructionsbtobab45-year-
oldbpatientbwhobdoesbnotbmaintainbeyebcontact.bWhatbshouldbthisbpatientsbbehaviorbindicatebtobt
hebnurse?
a. Thebpatientbisbnotbinterested.
b. Thebnursebthreatensbthebpatientsbego.
c. Thebnursebisbinbabhierarchicalbposition.
d. Thebpatientbdoesbnotbintendbtobfollowbthebinstructions.
8.bThebnursebisbcaringbforbabpatientbofbSpanishbdescentbwhobisbexperiencingbpain,bbutbdoesbno
bbbbbbbbb
tbspeakbEnglish.bAnbinterpreterbisblocatedbtobhelpbwithbthebassessment.bWhatbshouldbthebnursebdobt
obfacilitatebcommunicationbwithbthisbpatient?
a. Usebhandbsignalsbtobdeterminebthebcausebofbthebpain.
b. Ensurebthebinterpreterbisbnotbleftbalonebwithbthebpatient.
c. Maintainbeyebcontactbwithbthebpatientbandbthebinterpreter.
d. Usebonlybphysicalbexaminationbdata;bdobnotbrelybonbverbalbcommunication.
b 9.bAbnewbmotherbofbGuatemalanbdescentbbringsbherb10-day-oldbinfantbtobabclinicbforbabwell-
babybcheckup.bTobpromotebhealing,bshebhasbabcoinbtapedbtobthebinfantsbumbilicus.bWhatbshouldbthe
b
nursebdobaboutbthisbsituation?
b
a. Teachbthebmotherbhowbtobcleanbthebcoinbdailybandbreapplybit.
b. Explainbtobthebmotherbthatbthebcoinbisbnotbnecessarybforbhealing.
,c. Tellbthebmotherbtobremovebthebcoin,bbecausebitbcouldbcausebanbinfection.
d. Teachbthebmotherbhowbtobapplybabdrybsterilebdressingbinbplacebofbthebcoin.
b
10.bAnbolderbpatientbwhobfollowsbthebMuslimbreligionbisbapproachingbdeath.bThebfamilybsa
ysbthebpatientsbbedbshouldbbebturnedbtowardbtheboppositebwall,bsobitbcanbfacebMeccabtobensurebanb
easierbpassagebintobthebnextblife.bThebwallbtheybwantbthebbedbtobfacebhasbwallbsuctionbandboxygen
,bwhichbthebpatientbisbusing.bWhichbactionbbybthebnursebisbappropriate?
a. Getbpermissionbfrombthebphysicianbtobmovebthebbed.
b. Rearrangebthebfurniturebtobaccommodatebthebrequest.
c. Tellbthembyoubwillbmovebthebbedbwhenbthebpatientbisbcloserbtobdeath.
d. Tellbthembitbisbimpossiblebbecausebofbthebshortbtubingbonbtheboxygenbandbsuction.
11.bAbpatientbofbnorthernbEuropeanbdescentbrecoveringbfrombsurgerybdeniesbpostoperativebp
bbbbbbbbb
ain;bhowever,bvitalbsignsbindicatebanbelevatedbpulsebandbbloodbpressure.bThebpatientbrefusesbtobm
ovebinbbed.bWhichbnursingbactionbwouldbbestbensurebcomfortbandbtimelybdischarge?
a. Givebthebpainbmedicinebasbprescribed.
b. Askbthebphysicianbtobprescribebthebanalgesicsbaroundbthebclock.
c. Explainbthatbthebpainbmedicinebwillbhelpbpreventbcomplications.
d. Respectbthebpatientsbdenialbofbpain,bandbdobnotbencouragebthebpainbmedicine.
b
12.bAbnursebwhobemigratedbfrombChinabbeginsbworkingbonbabmedicalbunit.bThebpreceptorbexp
lainsbthebunitbroutines,bincludingbthebmedicationbadministrationbsystem.bWhenbthebpreceptorbasksbif
thebnursebunderstands,bthebanswerbisbalways:bYes,bIbunderstand.bWhatbshouldbthebpreceptorbdobtobm
b
easurebthebnursesbcomprehension?
a. Givebthebnursebabmedicationbquiz.
b. Havebthebnursebrepeatbthebinstructions.
c. Havebthebnursebdemonstratebthebprocedures.
d. Askbthebnursebwhichbinformationbisbhardbtobunderstand.
b 13.bAb52-year-
oldbfrombHaitibisbhospitalizedbwithbheartbfailurebandbwantsbtobhavebabvoodoobpractitionerbvisitbtobsa
ybprayers.bHowbshouldbthebnursebrespondbtobthisbrequest?
a. Reportbthebrequestbtobthebphysicianbimmediately.
b. Tellbthebpatientbthatbthisbisbnotbpermittedbduringbhospitalization.
c. Tellbthebpatientbitbisbokaybforbthebvoodoobpractitionerbtobsaybprayers.
d. Havebthebpatientbmeetbwithbthebvoodoobpractitionerbinbthebhospitalblobby.
b 14.bThebnursebisbcaringbforbabpatientbfrombabnon-
Englishbspeakingbculture.bWhilebprovidingbcare,bthebnursebshowsbanbappreciationbforbandbattention
tobarts,bmusic,bcrafts,bclothing,bandbfoods
b
, belongingbtobthebpatientsbculture.bWhatbdidbthebnursebdemonstratebwhilebcaringbforbthisbpatient?
a. Culturalbbeliefs
b. Culturalbawareness
c. Culturalbsensitivity
d. Culturalbcompetence
b
15.bAbfemalebCaucasianbnurse,boverheadbdiscussingbabpatientbfrombanotherbculture,basksbwh
ybthebpatientbwantsbtobseebabpractitionerbfrombhisbownbculture,bsincebeveryonebseesbphysiciansbwhe
nbtheybarebill.bWhatbcharacteristicbisbthebnursebexhibiting?
a. Stereotyping
b. Ethnocentrism
c. Culturalbsensitivity
d. Culturalbgeneralization
b 16.bDuringbanbassessment,bthebnursebdeterminesbthatbabpatientbfrombabnon-
Englishbspeakingbculturebpracticesbactivitiesbthatbarebpast-
oriented.bWhatbbehaviorbdidbthebnursebassessbinbthisbpatient?
a. Investingbtimebandbmoney
b. Enjoyingbeachbdaybasbitbcomes
c. Worshippingbancestorsbandbmaintainingbtraditions
d. Learningbfrombthebpastbtobavoidbmakingbthebsamebmistakesbinbthebfuture
b
17.bThebnursebnotesbthatbabpatientbofbArabbdescentbisbnotbeatingbanythingbonbthebmealbtrays.b
Whatbshouldbthebnursebdobaboutbthisbsituation?
a. Waitbforbthebpatientbtobaskbforbspecificbfoods.
b. Askbifbthebpatientbhasbspecialbfoodbpreferences.
c. ConsultbwithbabphysicianbofbArabbdescentbonbstaff.
d. ContactbthebdietitianbtobfindboutbwhatbpatientsbofbArabbdescentbpatientsblikebtobeat.
b 18.bThebmotherbofbab6-year-
oldbVietnamesebchildbadmittedbwithbpneumoniabisbrubbingbabcoinbonbthebchildsbback.bThebcoinbl
eavesbredbmarks.bWhatbshouldbthebnursebdobaboutbthisbobservation?
a. Reportbthebpossibilitybofbchildbabuse.
b. Dobnotballowbthebmotherbtobbebalonebwithbherbchild.
c. Explainbtobthebmotherbthatbshebcannotbdobthisbinbthebhospital.
d. Addbabstatementbtobthebcarebplanbthatbthebfamilybpracticesbcoining.
b 19.bThebfamilybofbanbolderbArab-Americanbpatientbdoesbnotbwantbthebpatientbtobbebinformed
Chapterb1.bHealthbMaintenancebGuidelinesbMult
iplebChoice
Identifybthebchoicebthatbbestbcompletesbthebstatementborbanswersbthebquestion.
b
1.bThebnursebisbpreparingbtobteachbabpatientbofbthebAsianbculturebtobperformbpostoperativebdr
essingbchangesbatbhomebafterbdischarge.bWhichbstatementbmadebbybthebnursebindicatesbculturalbco
mpetence?
a. Tellbmebhowbyoubfeelbaboutbyourbsurgery.
b. Asianbpeoplebarebsmart,bsobthisbshouldbbebeasybforbyoubtobunderstand.
c. Americanbsurgeonsbarebhighlybqualified;bImbsurebyoubwillbhealbquickly.
d. Willbyoubtellbmebaboutbanybtraditionalbhealingbpracticesbthatbyoubwouldblikebtobuse?
b
2.bAnbunconsciousbvictimbofbabhousebfirebisbbroughtbtobthebemergencybdepartmentbbybthebp
aramedics.bTiedbtobthebrightbwristbisbanbemblembthatbappearsbbebabreligiousbtalisman.bWhichbact
ionbshouldbthebnursebtake?
a. Tapebitbinbplace.
b. Dobnothingbwithbit.
c. Removebitbandblockbitbupbforbsafekeeping.
d. Placebitbinbabclothingbbagbwithbthebrestbofbthebpatientsbbelongings.
b 3.bAb43-year-
oldbpatientbofbArabbdescentbisbadmittedbtobthebhospital.bTobcomplybwithbthebstateblawsbofbtheborg
anization,bthebnurseboffersbthebpatientbabPapanicolaoubsmear,bwhichbshebrefuses.bWhichbactionbs
houldbthebnursebtakebfirst?
a. Notifybthebphysician.
b. Reportbthebrefusalbtobthebsupervisor.
c. Explainbthebrationalebforbandbbenefitsbofbthebtest.
d. Tellbherbitbisbstateblawbandbthatbshebdoesbnotbhavebabchoice.
b
4.bAbpatientbwhobisbabJehovahsbWitnessbhasbseverebgastrointestinalbbleedingbandbabdangerous
lyblowbhemoglobinblevel.bThebpatientbisbfullybalertbandbcompetentbandbrefusesbtobacceptbthebbloodbtr
ansfusionborderedbbybthebphysician.bWhichbactionbbybthebnursebisbmostbappropriate?
a. Obtainbabcourtborderbtobgivebthebblood.
b. Administerbthebbloodbwhilebthebpatientbisbsleeping.
c. Havebthebpatientsbspousebsignbthebconsentbtobhavebthebbloodbadministered.
,d. Ensurebthebpatientbunderstandsbpossiblebconsequencesbandbthenbrespectbthebpatientsbwishes.
b
5.bAbpatientbofbMexicanbdescentbseesbabcuranderobforbasthma;bthebcuranderobhasbprescribedba
specialbteabtobbebtakenbfourbtimesbabdaybtobopenbthebairways.bHowbshouldbthebnursebrespondbtobthi
b
sbsituation?
a. Encouragebthebpatientbtobcontinuebdrinkingbthebtea.
b. Encouragebthebpatientbtobdrinkbonlybonebcupbofbthebteabeachbday.
c. Askbthebpatientbtobbringbinbthebteabpackagebandbhavebthebpharmacistbcheckbthebingredients.
d. Advisebthebpatientbtobstopbdrinkingbthebteabbecausebofbpotentialbinteractionsbwithbotherb
medications.
b
6.bThebnursebisbcaringbforbabyoungbadultbmalebpatientbwhobrefusesbpersonalbcarebfrombabf
emalebnursingbassistant.bWhichbapproachbbybthebnursebisbbest?
a. Encouragebthebpatientsbfamilybtobtalkbwithbhimbaboutbhisbcare.
b. Havebabregisteredbnurseb(RN)bhelpbwithbhisbpersonalbcare.
c. Assignbabmalebassistantbtobhelpbwithbhisbpersonalbcarebifbonebisbavailable.
d. Explainbtobhimbthatbmalesbandbfemalesbtakebcarebofbbothbgendersbinbthisbhospital.
b 7.bThebnursebisbprovidingbmedicationbinstructionsbtobab45-year-
oldbpatientbwhobdoesbnotbmaintainbeyebcontact.bWhatbshouldbthisbpatientsbbehaviorbindicatebtobt
hebnurse?
a. Thebpatientbisbnotbinterested.
b. Thebnursebthreatensbthebpatientsbego.
c. Thebnursebisbinbabhierarchicalbposition.
d. Thebpatientbdoesbnotbintendbtobfollowbthebinstructions.
8.bThebnursebisbcaringbforbabpatientbofbSpanishbdescentbwhobisbexperiencingbpain,bbutbdoesbno
bbbbbbbbb
tbspeakbEnglish.bAnbinterpreterbisblocatedbtobhelpbwithbthebassessment.bWhatbshouldbthebnursebdobt
obfacilitatebcommunicationbwithbthisbpatient?
a. Usebhandbsignalsbtobdeterminebthebcausebofbthebpain.
b. Ensurebthebinterpreterbisbnotbleftbalonebwithbthebpatient.
c. Maintainbeyebcontactbwithbthebpatientbandbthebinterpreter.
d. Usebonlybphysicalbexaminationbdata;bdobnotbrelybonbverbalbcommunication.
b 9.bAbnewbmotherbofbGuatemalanbdescentbbringsbherb10-day-oldbinfantbtobabclinicbforbabwell-
babybcheckup.bTobpromotebhealing,bshebhasbabcoinbtapedbtobthebinfantsbumbilicus.bWhatbshouldbthe
b
nursebdobaboutbthisbsituation?
b
a. Teachbthebmotherbhowbtobcleanbthebcoinbdailybandbreapplybit.
b. Explainbtobthebmotherbthatbthebcoinbisbnotbnecessarybforbhealing.
,c. Tellbthebmotherbtobremovebthebcoin,bbecausebitbcouldbcausebanbinfection.
d. Teachbthebmotherbhowbtobapplybabdrybsterilebdressingbinbplacebofbthebcoin.
b
10.bAnbolderbpatientbwhobfollowsbthebMuslimbreligionbisbapproachingbdeath.bThebfamilybsa
ysbthebpatientsbbedbshouldbbebturnedbtowardbtheboppositebwall,bsobitbcanbfacebMeccabtobensurebanb
easierbpassagebintobthebnextblife.bThebwallbtheybwantbthebbedbtobfacebhasbwallbsuctionbandboxygen
,bwhichbthebpatientbisbusing.bWhichbactionbbybthebnursebisbappropriate?
a. Getbpermissionbfrombthebphysicianbtobmovebthebbed.
b. Rearrangebthebfurniturebtobaccommodatebthebrequest.
c. Tellbthembyoubwillbmovebthebbedbwhenbthebpatientbisbcloserbtobdeath.
d. Tellbthembitbisbimpossiblebbecausebofbthebshortbtubingbonbtheboxygenbandbsuction.
11.bAbpatientbofbnorthernbEuropeanbdescentbrecoveringbfrombsurgerybdeniesbpostoperativebp
bbbbbbbbb
ain;bhowever,bvitalbsignsbindicatebanbelevatedbpulsebandbbloodbpressure.bThebpatientbrefusesbtobm
ovebinbbed.bWhichbnursingbactionbwouldbbestbensurebcomfortbandbtimelybdischarge?
a. Givebthebpainbmedicinebasbprescribed.
b. Askbthebphysicianbtobprescribebthebanalgesicsbaroundbthebclock.
c. Explainbthatbthebpainbmedicinebwillbhelpbpreventbcomplications.
d. Respectbthebpatientsbdenialbofbpain,bandbdobnotbencouragebthebpainbmedicine.
b
12.bAbnursebwhobemigratedbfrombChinabbeginsbworkingbonbabmedicalbunit.bThebpreceptorbexp
lainsbthebunitbroutines,bincludingbthebmedicationbadministrationbsystem.bWhenbthebpreceptorbasksbif
thebnursebunderstands,bthebanswerbisbalways:bYes,bIbunderstand.bWhatbshouldbthebpreceptorbdobtobm
b
easurebthebnursesbcomprehension?
a. Givebthebnursebabmedicationbquiz.
b. Havebthebnursebrepeatbthebinstructions.
c. Havebthebnursebdemonstratebthebprocedures.
d. Askbthebnursebwhichbinformationbisbhardbtobunderstand.
b 13.bAb52-year-
oldbfrombHaitibisbhospitalizedbwithbheartbfailurebandbwantsbtobhavebabvoodoobpractitionerbvisitbtobsa
ybprayers.bHowbshouldbthebnursebrespondbtobthisbrequest?
a. Reportbthebrequestbtobthebphysicianbimmediately.
b. Tellbthebpatientbthatbthisbisbnotbpermittedbduringbhospitalization.
c. Tellbthebpatientbitbisbokaybforbthebvoodoobpractitionerbtobsaybprayers.
d. Havebthebpatientbmeetbwithbthebvoodoobpractitionerbinbthebhospitalblobby.
b 14.bThebnursebisbcaringbforbabpatientbfrombabnon-
Englishbspeakingbculture.bWhilebprovidingbcare,bthebnursebshowsbanbappreciationbforbandbattention
tobarts,bmusic,bcrafts,bclothing,bandbfoods
b
, belongingbtobthebpatientsbculture.bWhatbdidbthebnursebdemonstratebwhilebcaringbforbthisbpatient?
a. Culturalbbeliefs
b. Culturalbawareness
c. Culturalbsensitivity
d. Culturalbcompetence
b
15.bAbfemalebCaucasianbnurse,boverheadbdiscussingbabpatientbfrombanotherbculture,basksbwh
ybthebpatientbwantsbtobseebabpractitionerbfrombhisbownbculture,bsincebeveryonebseesbphysiciansbwhe
nbtheybarebill.bWhatbcharacteristicbisbthebnursebexhibiting?
a. Stereotyping
b. Ethnocentrism
c. Culturalbsensitivity
d. Culturalbgeneralization
b 16.bDuringbanbassessment,bthebnursebdeterminesbthatbabpatientbfrombabnon-
Englishbspeakingbculturebpracticesbactivitiesbthatbarebpast-
oriented.bWhatbbehaviorbdidbthebnursebassessbinbthisbpatient?
a. Investingbtimebandbmoney
b. Enjoyingbeachbdaybasbitbcomes
c. Worshippingbancestorsbandbmaintainingbtraditions
d. Learningbfrombthebpastbtobavoidbmakingbthebsamebmistakesbinbthebfuture
b
17.bThebnursebnotesbthatbabpatientbofbArabbdescentbisbnotbeatingbanythingbonbthebmealbtrays.b
Whatbshouldbthebnursebdobaboutbthisbsituation?
a. Waitbforbthebpatientbtobaskbforbspecificbfoods.
b. Askbifbthebpatientbhasbspecialbfoodbpreferences.
c. ConsultbwithbabphysicianbofbArabbdescentbonbstaff.
d. ContactbthebdietitianbtobfindboutbwhatbpatientsbofbArabbdescentbpatientsblikebtobeat.
b 18.bThebmotherbofbab6-year-
oldbVietnamesebchildbadmittedbwithbpneumoniabisbrubbingbabcoinbonbthebchildsbback.bThebcoinbl
eavesbredbmarks.bWhatbshouldbthebnursebdobaboutbthisbobservation?
a. Reportbthebpossibilitybofbchildbabuse.
b. Dobnotballowbthebmotherbtobbebalonebwithbherbchild.
c. Explainbtobthebmotherbthatbshebcannotbdobthisbinbthebhospital.
d. Addbabstatementbtobthebcarebplanbthatbthebfamilybpracticesbcoining.
b 19.bThebfamilybofbanbolderbArab-Americanbpatientbdoesbnotbwantbthebpatientbtobbebinformed
